![]() ![]() 3,6,7,9 Among them, the work by Sykes et al. 5-8 In the last years, several articles describing the anatomy of the temples for the use of fillers were published. Temporal fossae are bilateral, shallow depressions of the skullcap that are delimited, for didactic purposes, as follows: upper limit, temporal line anterior, lateral wall of the orbit inferior, zygomatic arch and posterior, implantation area of the scalp, where the skin is thicker and more vascularized ( Figure 1). 2,3Volume replacement in the temples replaces the local concavity for the young face’s convexity provides sustenance to the external portion of the eyes and lateral eyebrow elevation and attenuates periorbital wrinkles. Volume loss in this region is an early sign of aging however, it may also occur in young adults who have a low body fat rate. 1 In this second part, we will discuss the temporal and supraorbital regions included in the upper third of the face.Ī young face shows a subtle transition among the different regions and good coverage on bone prominences-especially on the temples, which should be flat or slightly concave in women, whereas local convexity provides the physiognomy with a more masculine appearance. ![]() ![]() Keywords: DERMAL FILLERS HYALURONIC ACID REJUVENATIONĪs already discussed in part 1 of this article, rejuvenation techniques using hyaluronic acid (HA) for the upper third of the face require that the physician has a deep anatomical knowledge (including soft tissues as well as bone and neurovascular structures) and an understanding of the innate or acquired facial volume deficiencies and the properties and characteristics of available products. The objective of this sequel article is to offer a review of the literature and an update on the use of hyaluronic acid cutaneous fillers in the rejuvenation of the temporal and supraorbital regions. Volume replacement, particularly with hyaluronic acid, has been standing out due to its widespread availability and ease of use, immediate and long-lasting results, reversibility, and safety when properly used. The greater understanding of the anatomical changes involved in the aging process was followed by a rapid evolution in the approach of these alterations and a great development of substances and technologies used for this purpose. Noninvasive techniques for facial rejuvenation have grown exponentially in recent years. ![]()
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